| NPI | 1396852919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7059-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1671-120) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-06-17 |